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Free flap necrosis has a frequent occurrence and results in high morbidity, however there is still no quantitative method to image and measure perfusion during the operation. Optical techniques could be the answer to this problem. These techniques image perfusion directly during surgery and give a high-resolution and high-contrast image comparable to microscopy. In this study we test the feasibility, validity and reproducibility of four optical techniques: Optical Coherence Tomography (OCT), Sidestream Darkfield Microscopy (SDF), Laser Speckle Contrast Imaging (LSCI) and Fluorescence Imaging (FI).

Abstract: 8.00 Novel Perfusion Diagnostics In Reconstructive Surgery: Towards Prediction Of Free Flap Failure